Right Colectomy with Intracorporeal Anastomosis: A European Multicenter Propensity Score Matching Retrospective Study of Robotic Versus Laparoscopic Procedures.

Humans Retrospective Studies Robotic Surgical Procedures / methods Propensity Score Colectomy / methods Colonic Neoplasms / surgery Anastomosis, Surgical / methods Laparoscopy / methods Treatment Outcome Operative Time

Journal

World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052

Informations de publication

Date de publication:
Aug 2023
Historique:
accepted: 08 04 2023
medline: 3 7 2023
pubmed: 16 5 2023
entrez: 15 5 2023
Statut: ppublish

Résumé

This study aimed to compare the short- and long-term outcomes of robotic (RRC-IA) versus laparoscopic (LRC-IA) right colectomy with intracorporeal anastomosis using a propensity score matching (PSM) analysis based on a large European multicentric cohort of patients with nonmetastatic right colon cancer. Elective curative-intent RRC-IA and LRC-IA performed between 2014 and 2020 were selected from the MERCY Study Group database. The two PSM-groups were compared for operative and postoperative outcomes, and survival rates. Initially, 596 patients were selected, including 194 RRC-IA and 402 LRC-IA patients. After PSM, 298 patients (149 per group) were compared. There was no statistically significant difference between RRC-IA and LRC-IA in terms of operative time, intraoperative complication rate, conversion to open surgery, postoperative morbidity (19.5% in RRC-IA vs. 26.8% in LRC-IA; p = 0.17), or 5-yr survival (80.5% for RRC-IA and 74.7% for LRC-IA; p = 0.94). R0 resection was obtained in all patients, and > 12 lymph nodes were harvested in 92.3% of patients, without group-related differences. RRC-IA procedures were associated with a significantly higher use of indocyanine green fluorescence than LRC-IA (36.9% vs. 14.1%; OR: 3.56; 95%CI 2.02-6.29; p < 0.0001). Within the limitation of the present analyses, there is no statistically significant difference between RRC-IA and LRC-IA performed for right colon cancer in terms of short- and long-term outcomes.

Sections du résumé

BACKGROUND BACKGROUND
This study aimed to compare the short- and long-term outcomes of robotic (RRC-IA) versus laparoscopic (LRC-IA) right colectomy with intracorporeal anastomosis using a propensity score matching (PSM) analysis based on a large European multicentric cohort of patients with nonmetastatic right colon cancer.
METHODS METHODS
Elective curative-intent RRC-IA and LRC-IA performed between 2014 and 2020 were selected from the MERCY Study Group database. The two PSM-groups were compared for operative and postoperative outcomes, and survival rates.
RESULTS RESULTS
Initially, 596 patients were selected, including 194 RRC-IA and 402 LRC-IA patients. After PSM, 298 patients (149 per group) were compared. There was no statistically significant difference between RRC-IA and LRC-IA in terms of operative time, intraoperative complication rate, conversion to open surgery, postoperative morbidity (19.5% in RRC-IA vs. 26.8% in LRC-IA; p = 0.17), or 5-yr survival (80.5% for RRC-IA and 74.7% for LRC-IA; p = 0.94). R0 resection was obtained in all patients, and > 12 lymph nodes were harvested in 92.3% of patients, without group-related differences. RRC-IA procedures were associated with a significantly higher use of indocyanine green fluorescence than LRC-IA (36.9% vs. 14.1%; OR: 3.56; 95%CI 2.02-6.29; p < 0.0001).
CONCLUSION CONCLUSIONS
Within the limitation of the present analyses, there is no statistically significant difference between RRC-IA and LRC-IA performed for right colon cancer in terms of short- and long-term outcomes.

Identifiants

DOI: 10.1007/s00268-023-07031-3 PMID: 37188971
pubmed: 37188971
doi: 10.1007/s00268-023-07031-3
pii: 10.1007/s00268-023-07031-3
doi:

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2039-2051

Investigateurs

Filippo Aisoni (F)
Christine Denet (C)
Céphise Antonot (C)
Jeanne Vertier (J)
Aleix Martínez-Perez (A)
Giovanni Domenico De Palma (GD)
Lorenzo Orci (L)
Sebastiano Bartoletti (S)
Lauren O'Connell (L)
Monica Ortenzi (M)
Francesca Pecchini (F)
Jean-Christophe Paquet (JC)
Massimo Chiarugi (M)
Dario Tartaglia (D)
Ornella Perrotto (O)
Antonio Santangelo (A)
Francesco Arces (F)
Raffaele De Rosa (R)
Enrico Andolfi (E)
Gian Luigi de'Angelis (GL)
Maria Clotilde Carra (MC)
Francesca Pecchini (F)
Gianluca Pellino (G)
Alessia Urbani (A)
Laura Vidal (L)
Angelo Restivo (A)
Simona Deidda (S)

Informations de copyright

© 2023. The Author(s) under exclusive licence to Société Internationale de Chirurgie.

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Auteurs

Nicola de'Angelis (N)

Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, Clichy, France. nic.deangelis@yahoo.it.
University of Paris Est, UPEC, Créteil, France. nic.deangelis@yahoo.it.
Department of Digestive, Hepato-Pancreato-Biliary Surgery, Henri-Mondor Hospital, AP-HP, Université Paris Est - UPEC, 51, Avenue du Maréchal de Lattre de Tassigny, 94010, Créteil, France. nic.deangelis@yahoo.it.
ORCID: 0000-0002-1211-4916

Micaela Piccoli (M)

Unit of General, Emergency Surgery and New Technologies, OCB (Ospedale Civile Baggiovara), AOU (Azienda Ospedaliero, Universitaria Di Modena), Modena, Italy.

Gianmaria Casoni Pattacini (G)

Unit of General, Emergency Surgery and New Technologies, OCB (Ospedale Civile Baggiovara), AOU (Azienda Ospedaliero, Universitaria Di Modena), Modena, Italy.

Des C Winter (DC)

Department of Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

Paolo Carcoforo (P)

Department of Surgery, Unit of General Surgery, University Hospital of Ferrara, University of Ferrara, Ferrara, Italy.

Valerio Celentano (V)

University of Portsmouth, Portsmouth, UK.
Department of Surgery and Cancer, Imperial College, London, UK.

Federico Coccolini (F)

General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.

Salomone Di Saverio (S)

Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.

Alice Frontali (A)

Department of General Surgery, Department of Biomedical and Clinical Sciences 'L. Sacco', University of Milan, ASST Fatebenefratelli Sacco, Milan, Italy.

David Fuks (D)

Department of Digestive Oncologic and Metabolic Surgery, Institut Mutualiste Montsouris, Paris Descartes University, Paris, France.

Pietro Genova (P)

Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), Paolo Giaccone University Hospital, University of Palermo, Palermo, Italy.

Mario Guerrieri (M)

Department of General Surgery, Università Politecnica Delle Marche, Piazza Roma 22, 60121, Ancona, Italy.

Miquel Kraft (M)

Unit of Colorectal Surgery, Department of General and Digestive Surgery, University Hospital Vall d'Hebron-Universitat Autonoma de Barcelona, Barcelona, Spain.

Zaher Lakkis (Z)

Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France.

Bertrand Le Roy (B)

Department of Digestive and Oncologic Surgery, CHU Saint-Etienne, Hospital Nord, Saint-Etienne, France.

Renato Micelli Lupinacci (R)

Department of Digestive, Oncologic and Metabolic Surgery, Ambroise Paré Hospital, AP-HP. Paris Saclay University, Boulogne-Billancourt, France.

Marco Milone (M)

Department of Clinical Medicine and Surgery, "Federico II" University of Naples, Naples, Italy.

Roberto Petri (R)

General Surgery Department, Azienda Sanitaria Universitaria Friuli Centrale (ASU FC), Udine, Italy.

Stefano Scabini (S)

General and Oncologic Surgical Unit, Policlinico San Martino, Genoa, Italy.

Valeria Tonini (V)

Emergency Surgery Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.

Alain Valverde (A)

Groupe Hospitalier Diaconesses, Croix Saint-Simon, 75020, Paris, France.

Luigi Zorcolo (L)

Colon and Rectal Surgery Unit, University of Cagliari, Cagliari, Italy.

Giorgio Bianchi (G)

Department of Digestive, Hepato-Pancreato-Biliary Surgery, Henri-Mondor Hospital, AP-HP, Université Paris Est - UPEC, 51, Avenue du Maréchal de Lattre de Tassigny, 94010, Créteil, France.

Frederic Ris (F)

Division of Abdominal and Transplantation Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, 4 Rue Gabrielle-Perret-Gentil, 1205, Geneva, Switzerland.

Eloy Espin (E)

Unit of Colorectal Surgery, Department of General and Digestive Surgery, University Hospital Vall d'Hebron-Universitat Autonoma de Barcelona, Barcelona, Spain.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Right Colectomy with Intracorporeal...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Right Colectomy with Intracorporeal...
questionsmedicales.fr › Technologie, industrie et agriculture › Technologie › Automatisation › Interventions chirurgicales robotisées › Right Colectomy with Intracorporeal...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Score de propension › Right Colectomy with Intracorporeal...
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questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies intestinales › Tumeurs de l'intestin › Tumeurs du côlon › Right Colectomy with Intracorporeal...
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